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SNELLS LIMBS & BRACES OF SHREVEPORT LLC NPI 1093963878


NPI Information

NPI: 1093963878
Provider Name: SNELLS LIMBS & BRACES OF SHREVEPORT LLC
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
8730 YOUREE DR
BUILDING A
SHREVEPORT, LA
ZIP 71115
Phone: (318) 795-0953
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SNELLS LIMBS & BRACES OF SHREVEPORT LLC is a prosthetic orthotic supplier in Shreveport, LA. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. SNELLS LIMBS & BRACES OF SHREVEPORT LLC NPI is 1093963878. The provider is registered as an organization entity type.

The provider's business location address is:

8730 YOUREE DR
BUILDING A
SHREVEPORT, LA
ZIP 71115-518
Phone: (318) 795-0953

The provider's authorized official is Clyde N Massey .
The authorized official title is Vice President and has the following contact phone number (318) 424-4167.

The enumeration date for this NPI number is 9/4/2008 and was last updated on 11/15/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1335E00000XProsthetic/Orthotic SupplierYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10270680004MEDICARE NSCLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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